IndividualActive
Christopher Phillips, IDC
NPI 1376948554 · Independent Duty Corpsman · Groton, CT
Provider details
- NPI number
- 1376948554
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Mailing address
121 Orion Ave
Groton, CT 06340-2841
Registry dates
- Enumerated
- 2014-10-29
- Last updated
- 2026-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.